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Individual
TERESA VEGA
Active
Individual
TERESA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95001705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95001705
LIC
CA
Enumeration date
11/25/2014
Last updated
10/09/2024
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